Permit r
(.
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00319
;Vr DEVELOPMENT SERVICES DATE ISSUED: 12/16/2004
. ° � f I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08084 SW LEISER LN PARCEL: 2S112BC -13300
SUBDIVISION: LEISER PARK ZONING: R - 4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: New SF.
BUILDING
REISSUE: LP -002 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,358 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,470 sf GARAGE: 622 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 Tao- sf RIGHT: 5
VALUE: 277.550.60
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,828 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 • 400 amp: 201 • 400 amp: 1st W/O SVOFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps•1000v. MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL 8. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,169.51
This permit is subject to the regulations contained in the
LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes
12755 SW 69TH AVE # 100 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in
PORTLAND, OR 97223 TIGARD, OR 97223 accordance with approved plans. This permit will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: LIC 60563 rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Post/Beam Mechanical Electrical Service Low Voltage Water Line lnsp Plumb Final
Sewer Inspection Underfloor insulation Electrical Rough In Gas Fireplace Water Service lnsp Building Final
Footing Insp Crawl Drain /Backwater Framing Insp Insulation Insp Appr /Sdwlk Insp
Foundation Insp PLM /Underfloor Shear Wall Insp Rain drain Insp Electrical Final
Post/Beam Structural Plumb Top Out Exterior Sheathing Insg Storm drain Insp Mechanical Final \
Issued = _ ! ,, � �i. L P ermittee Signature : AI
VilIKININk
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Building Permit App . D �r FOR OFFICE USE ONLY
City of Tigard Date /B � �� 6 L� PermitNo Oda
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review,. _
l 9
Phone: 503.639.4171 Fax: 503.598.1960 OCT 2 8 100 �°°t Date/By: / CIA N/ 1 Other Permit:+ lJU )
I U — UPI J l2aD y/
l
Inspection Line: 503.639.4175 v Date Ready/By: J ® See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: '1-)(1-- Supplemental Information
5UILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $276,421.80
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms: 4
❑ Master builder I ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number, of floors: 2 .
Job site address: 8084 SW Leiser Lane New dwelling area: 2828 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 622 square feet
Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Leiser Park Lot no.: 002 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all •
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: • square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Legend Homes Type of construction:
Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: (503)620 -8080 Fax: (503)598 -8900 New: . -
® APPLICANT ® CONTACT PERSON NOTICE,
Business name: Legend Homes All contractors and subcontractors are required to be
Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the
Ciry / State/ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
E -mail: slucas @legendhomes.com
CONTRACTOR
Business name: Legend Homes BUILDING PERMIT <
Address: 12755 SW 69 Avenue, Suite #100
Please refer to fee schedule.
'City/State/ZIP: Portland, OR 97223
Fees due upon application
Phone: (503) 620 -8080 I Fax: (503) 598 -8900
Amount received
CCB lic:- 060563
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after It has been accepted as complete.
Print name: Steve Lucas I Date: 10/27/04 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building \Permits \BUP- PemtitApp.doc 11103 440- 4613T(II /07JCOM/WEB) - '
V ,__12/11/2002 04:23 6427925 PAGE 02
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■ Dl cmohtitm ■ Olhoil QServioe over 225 amps, eeartm l IIBBesndous ►o .don
I 03ordoo over 330 - rating OBulldtg over 10000 ft., ;g'!: A { 1 '! I 1 f 1I1r _Ji r a p 1 ' d} ) r , fir ,'�•'' of 1' aa4 3- 14mlly J1%11111132 4 or mom new residential
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t- uw 2.7andiy derailing Q Comnheroiai/Indusbiai a Accessory building ❑System over 600 vole nominal uatbh in one enuan n 1
Q Bonding over dyes scoria OFealrre.400 ergo or mien
111 Malt font) III Matter builder • Other' a m� . Oeemwtreturad rauca�, or
7 . 1 r 4 'Iii'. ' L S 4 y r i, { , ,„ QOIkt�+llblaed eae :►)'A p�
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Job eta eddraea: 8006 SW Lobar Limo liesIth.00re &Wiry GOdi
Submit A me of pkns wiot tow at Ma above-
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C ity/9tato/ZiP ; 11aird, OR 97723 , • The above =rat apoticobie a ampmcy construction sarvioe.
Sulto/b16gJ0pt. no.: Project name: Lear Pork ' 7 - I '; i1 !1'ei lt;4.P,i,I .1 " ;; I 1 1 . 1h EI` _; 16,01. .
tsaaarnon •
Croaa atreeddtreegona to iob altos Now residential single. or mule) -Yom lr dwei ma oak. •
handed utaabed pus' . .
1.000. t arias OM IllagilMitn 01
8s. Mel 500'•.n.or 'on BEI 33.40 eb'IP•40
Limltad energy. reuldentIal 1111 75.00 - 2
Limited new.nonas demist 75.00 3 •
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90 so Min
Serviette or fader Installation alteration and/or rdoentlo•
200 arum; or teen MI 8030 MId
I tit r I re. l r T' 1 ;�+ ' ' N a [ , r u'.i 201 01792 le 400 wipe 106.85 2
I q1 ! r y . .,, )111111 � , r ;' of lr l' ,i (..
a�jr�l,I 1 11 I 1 �1 �,, I , 11 �, �lk, 1 160.40 3
I I 11 L � {.II II.1 1. (!. 1I L1111.11� }'�I. 1 Fr .� •. ,,1.1,1 -� I 401 a to
Nile la 1.4Sot.d Hems 501 aapr ro 1 pOC amps 111 140.60 � �
Addrts>1: SW 69 AYeo+de. Salto 0100. __ ,I. _„ ' , . • , • , . Over 1 .Ois • a or volts 434.
' Reconnaer eel MI 66,81 IIIIIIIII1O
cily/$eatelZWP; Portland, QM 97223: ' . enponry sera as or - ' s Iuu u1Iatloa, a a • h1, and/or
Phone (603)6204050 1'Itw (503)59841900, rebeadan
300 • or law 111. 6647 RN
Owner inettitaUloa: ` 1 isdott Is • hog wade op property that I own which Is not 301 dm ' lo4a0 r ' . ' . le' • 100.30 .1111111Q
Intended for sale, ioaio. rein, of exeheagn, according to ORS 447, 449, 670, And 701. 401 dares to 400 amps 111.75 2
Owner signature: ,',;1.1, _ v Stns Brandt drealk- new, atteratlaa or estunslan, e. er panel • ,. • v • . n a i r 1 { E ,, 7.11:,.'' t i f .i iln A. Fee �r brane.b.$feVit, moo
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Bob= e n+e= •I4Ben4 Some, branch ct;r8dt a ,
B. Fa for branch circuits
Contact name: Stove Load , wtraew service or tender tae, 46.85 2
Atkfratc 1171 21W 4P Avenue, 8olte 9100 sno .7'6130'14 h b
each sail kronen arwit 6,65 2
City /lame/ZIP: Portland, OR 97233 Mi.sdtaaema eerriee sr fmrbor ant Iodated
Phone! (5 113) 620.8080 it 1 Fax: ; (603) 59 9000. _ , _!: • f 3-40 �0
S - ; Ai.1.... 8180 or amine ti ling 53.40 • 2
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Rusin= mom Garner Malaria •
Addrow 1920 ®1V 347 Aeneas 9 A - .1 Each sddl$sani 1 , - ow a 1 ' e In so . of the above
--� - - _ I♦ 62.50 MIMIr
City /Stgte/ZIP;1i111Broro, 081 0123 h,vwti pidml per bout (I hr mil) ■ 62.50 -
Photon (503)591.1390 • . Fate' (I 642 - 7915 ,_. . Industrial lint porboor III .2 141 i1,' ii_} 4 C 1 ;:'"7r";321..,1...3i1!: If. •i ' i7tliri'll∎l';I!!•4V.iNIV
CCB Lie.: 131159 Eleab9erd L1ea rAP • • ..Lie.: 3707-S • subtotal 2:42,..-1.5. I
Suprv. Slectrioimr signature, required: /i ' '' . , ,Men tuvlew (351%otvsRrli ghr)
• ..... . - Sears sumac, PH ems* tor) 22.0 7
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. Print none: `Dater • fur aistbodebsy hat b y 'eriCaraty $o t41na moony envies Beard
w %Ow of teepeafon as ;wok allowed.
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Mechanical Permit Application , roR om1rICE USE ONLY
Cityxof Tigard Date/By: Permit No.: L / ' e63/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1tT 2 8 2004 '�I Date/By: Other Permit:
Inspection Line: 503.639.4175 - 1' 6T Dat Ready/By: lurb: l S ee Page 2 for
�7 - __.. 8
Internet: www.ci.tigard.or.us Notified/Method: • • - - - ' Supplemental Information
CITY OF TIGARD
BUISVNg, n1ON COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT! SYSTEMS FEES* .
® 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 8084 SW Leiser Lane
(requires site plan showing placement) 14.00
City/ State/ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts/vents) 14.00
- Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Leiser Park
Gas heat pump 14.00
Cross street/directions to job site: . Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Leiser Park I Lot no.: 002 Other: 10.00
Tax map /parcel no.: • . Other fuel appliances
DESCRIPTION OF WORK - Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
- - - fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Legend Homes Environmental exhaust and ventilation
Range hood /other kitchen
Address: 12755 SW 69 Avenue
equipment 10.00
City/ State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)620 -8080 Fax: (503)598 -8900 toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas - $5.40 for first four; $1.00 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc.
Gas heat pump
City /State/ZIP: Portland, OR 97223 Wall /suspended/unit heater
Pliunc: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater
Fireplace
E -mail: slucas @legendhomes.com R ange .
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
_ • Other:
Address: 13150 Clackamas River Drive . MECHANICAL PERMIT FEES*
City /State/ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557 -2220 Fax: (503) 557 -0919— __ _ _ Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (8% of permit fee)
• TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
�� days after It has been accepted as complete.
Print name: Steve Lucas l Date: 10/27/04 * Fee methodology set by Tri County Building Industry Service Board
is \Building \Permits \MEC- PermitApp.doc 12/03 440- 4617T(11 /02/COM/WEB)
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CITY OF TIGARD .
,�
BUILDING DIVISION PERMIT #: MST2004 -00319
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 l �,� ill -
Inspection Requests (24 Hrs.): (503) 639 -4175 -�_ ` =__..
INSPECTION WORKSHEET FOR DATE: 515/2005 TIME: 7:16AM PAGE: 94
SITE ADDRESS: 08084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: LOSER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES, PHONE #: 503 - 620-8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620
Inspection Request Scheduled For: Date: 5/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006128 -02 503 -209 -3370 N
Corrections/Comments/Instructions:
d ir i /I . /� , / /Z / L -IJ
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❑ PASS PARTIAL _ APPROVAL ❑_CANCEL — ____ —_ ❑_NO_ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Dat Phone #: (503) 718-
CITY OF TIGARD • 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �66 esof 3/?
INSPECTION DIVISION Business Line: (503) 639 -4171 "
/ BUP
Received Date Requested AM PM BUP
Location 5r0 g`{ Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) (;7 (7g/ SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
,= • . iii•
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Fi
PART FAIL
CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for rei spection RE: 0 Unable to inspect = no access
Filti Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503 175 00
INSPECTION DIVISION Business Line: (5 MST ` - co3/
Received Date Requested � � AM PM BUP
Location 'O g '( Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) _�P 6 -7 - 1 7 g/ SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear �+ nn�
Framing t — l&s'
Insulation
Drywall Nailing
Firewall V n.s
Fire Sprinkler
Fire Alarm 5 ' 1,
'
Susp'd Ceiling
Roof
Other: 4-- ` ^ vJ .
Final S '- ` \,
PASS PART FAIL
1231
Post & Beam ry 4 S �" — — Y1
Under Slab 1�" •
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART gro
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA � f j
� (/
Approach/Sidewalk Date �� U S Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site. •
PASS PART FAIL
CITY OF TIGARD • 24 -Hour �7
BUILDING Inspection Line: (503) 639 -4175 MST r� _ o6.3 ) 9
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 66 AM PM BUP
Location ( y r1 -' Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) (O 7 - / 78/ SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
ugtrliv)
Wa ear Service
Sanitary Sewer
Rain Drains •
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART CI
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 2 I l- 0 J U( Inspector � " ` �' Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �1
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / —/' AM PM BUP
Location Suite MEC
Contact Person 6_7 1 Ph ( ) PLM
Contractor Ph ( ) 7 -/ 7 87 SWR
BUILDING Tenant/Owner 1� ELC
Footing I -
Foundation ' ELC
Ftg Drain Access: t ( ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors 2 6/ G 3 7
Ext Sheath/Shear
.1 1/1/1/ )
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Wer _EleaRT'
Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
F'
PAS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
re Supply Line
F
Approach/Sidewalk Date / Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD A- 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ,D v �G 3(
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received 4 Q Date Requested / AM PM BUP
Location Suite MEC
Contact Person Ph ( ) O 9 l " 4 /493 r PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain a ( v ELR
Cyr - w Dra v
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ i� –
-
Firewall / G
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
-
.` T FAIL
Post & Beam
Under Slab
Rou w �,, h , -- ���
n rai
Catch Basin / Manhole
rm rai
Shower Pan 1
F;.
PART FAIL
• - HANICAL
Post -& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 111 Please call for reinspection RE: ❑ Unable to inspect – no access
- — Fite Fire Supply Line IADA Approach/Sidewalk Date bv.
Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD Y ST.
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �6.0 ( I — DO 3 / 7
Phone: (503) 639 -4171 A yl� ill
Inspection Requests (24 Hrs.): (503) 639 -4175 . -....
INSPECTION WORKSHEET FOR DATE: 3 g TIME: PAGE:
SITE ADDRESS: g O CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: b -3 3 7>j
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
•
•
I. _ _PASS ❑_PART_IAL_ ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date:., " - - #: (503) 718-
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503) 639 -4175 MST .26 OC'ekO-? /
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 - 3 AM PM BUP
Location Un � - t�a s f - Suite MEC
Contact Person ` / —a--A Ph ( ) �'d c1 - 3 3 �d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext_gbeath hear
nt Sheath/S
Insulation
Drywall Nailing��'���'�'
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Gas Line
Smoke Dampers
Fi
PASS ART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Line — -- —
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00319
r ---
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -' �- ': _ I
INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7:08AM PAGE: 5
SITE ADDRESS: 48084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES, PHONE #: 503- 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620.8080
Inspection Request Scheduled For: Date: 5112/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006727 -03 503-209-3370 N
Corrections /Comments/ Instructions:
S h e r `[Ce _(_'mil 7
.L /.1 S v L-4- , iv C, .
C,4 L_ 0 / . l T l N 1 ' 1 F /NA-t_ U ' 1 ( 7 ? ' , ( V (...,e
.
❑ - PASS — "ARTIAL- APPROVAL - - ❑- CANCEL- - - - - -- ----- -❑ -NO- ACCESS
£AIL V CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
J
Inspector: i Date: 3 ^ l Phone #: (503) 718-
••
• • - Main Office Salem Office Bend Office
• P.O. Box 23814. )60 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing Inc.' Phone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
May 12, 205
T0507517.CTI
RECEWED
City of Tigard Building Department
13125 SW Hall Blvd., MAY 16 2005
Tigard, OR 97223 -81
CITY OF TIGARD
Attn: Hap Watkins BUILDING DIVISION
Re: Leiser Park — Lot #2
8084 SW Leiser Lane - Tigard, OR
Permit No.: MST2004 -00319
Dear Sir or Madam: •
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have
performed special inspection of the following item(s) per our inspection reports only:
•
Installation of Adhesive Anchors
All inspections and tests were performed and reported according to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON ESTIN IN .
•
Douglas W. Leach
Chief Executive Officer
mbw
•
cc: Legend Homes - Vern Malen •
Froelich Consulting Engineers
CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: MST2004 -00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 .1-4µ11i11 l
Inspection Requests (24 Hrs.): (503) 639 -4175 „J.4 `_L
INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7 PAGE: 4
SITE ADDRESS: 08084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 042 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006727 -04 503 - 209-3370 N
Corrections /Comments /Instructions: .
03 PASS ARTIAL APPROVAL ❑ CANCEL _ ❑ ACCESS
❑ FAIL /OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 503 N : fat•. ( ) 718 -
H
CITY OF TIGARD • .
I� BUILDING DIVISION PERMIT #: MST2004 -00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12
Phone: (503) 639 -4171 U,a4p °
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 5 TIME: 7 : 16 AM PAGE: 95
SITE ADDRESS: 08084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES. PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006128 -01 503 -209 -3370 N
Corrections /Comments /Instructions:
(
PASS ❑_ PARTIAL APPROVAL [I CANCEL _ —_ _— ❑_NO_ACCESS •
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: P Dater Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 : 40:00#11i,, Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: +5/16/2005 TIME: 7 :09AM PAGE: 5
SITE ADDRESS: 08084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006962 -05 503-209 -3370 N
Corrections /Comments/ Instructions:
•
PASS Ill PARTIAL APPROVAL ❑ CANCEL —__ 0 N ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: .5 -05 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2004 -00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2004
Phone: (503) 639 -4171 :� �4r� j I l i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..A `__..
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7 : 09AM PAGE: 6
SITE ADDRESS: 08084 SW LEISER LN CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: D02 TYPE OF USE:
PROJECT NAME: LEISER PARK
DESCRIPTION: New SF.
OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620-8080
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006962 -04 503-209-3370 N
Corrections /Comments /Instructions:
-PASS ❑- PART-IAL- APPROVAL— ❑- CANCEL - O -NO- ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A / I °4 Date: / -----8 Phone #: (503) 718-
CITY OF TIGARD • 24 -Hour
•
BUILDING Inspection Line: (503) 639 -4175 MST aeo Y -3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Reque ed a' — Z0 AM PM BUP
Location � T l- Suite MEC
Contact Person Ph ( ) O f ` 33 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
40). heath/'an
, fir:• /".i7 / 0 r- 5 / 12 et/07 —
Insulation
Drywall Nailing
Firewall �)
Fire Sprinkler /tic) � a ' -�`' ex /�'��� ��GC —S 42 5 o S� e„
Fire Alarm
Susp'd Ceiling ' �lI.e �� s r
Other: AA" s`"G�' 1" 4P rlo l 5/ % EL 'S
Final i AMP" 41, � � /��Sa
PASS PART
PLUMBING r 6,,4TT C-\
Post & Beam
Under Slab � � �� < .' weir . —5
Rough -In
Water Service - �'`��ZS _- SZ 3¢
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: -
Final
PASS PART FAIL
MECHANICAL
Post & Beam
as i
Smoke D pers
Fi
•
SS PART (FAIL
EL TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 2 OF 0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD - 24 -Hour
BUILDING Inspection Line: (503).639 -4175 MST ■q ' Q6 7 J00. 3 /
INSPECTION DIVISION Business Line: 03) 639 -4171
BUP
Received Date Requested �• ° 1 AM PM BUP
Location SD Suite MEC •
Contact Person - T Ph ( ) (3 ? — 3376 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
S___ - ar Anchors
heat AIM' c /�-
or Sheat z p Vim , , 1 O ' o S S
t C ) 5 0 c CS
Insulation GorA L(_D_ 6-
Drywall Nai ' g
Firewall
Fire Sprinkler p �l� 't� 5
Fire Alarm I) '(Z 0 V eL. C_. 5 G - \ IC IV, I -
Susp'd Ce ng
Roof Il o r e ',. i- f . , L > v s u_�'s
Other:
Fi . Z) , , I"1, S S i ,,.l c.,.. -
/- - ,a -N/C�( 5 �. /424- C--C—
PART AIL _ -
P e ' BING / ) I-4�l looxr e__ t�lu%7 i ?6wD�rre._ v ��
Post & Beam /
Under Slab � A 7Pq-G 6 >t 4 0 ���
v
Rough -In -S ) 4 a = t-- u r to / C ( - 7
1-31- l S
Water Service ,,pp
Sanitary Sewer S T _ S ( F (_Td`r' F- S
Rain Drains �'�/ ��'"�L• -, u
Catch Basin / Manhole ' Pb 1 Ie_ j. /40 Ai `-o cJ
Storm Drain
Shower Pan L i) Ple a C to g 7,>>" ` k c 'i'
Other:
Final Co f /i
PASS PART FAIL
MECHANICAL o' Cr .ielI 60(_,, f-- F7,L� 13C-6C_ ` \
Post & Beam
,L� t /_,
s i � 1n o'r4—t !sSutr(S) 0>_ -r0 s—! Su(_ �
Final C/A-7V Smoke Dampers s ��
/\/ S� (_m_7 A I CS Li c ' J \
PASS P RT FAIL
CECTR l kt -' r> / t
Service 'WePe KT
C / / 2 _ Z Z • 0 K A- _LSS UL S
Low Voltage ( Lac n i L - or" t r c e
Fire Alarm
Fi 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line - /
ADA 2-_ L—/ 0
Approach/Sidewalk Dat // nBp eCtor _ if.xt
Other:
Final DO NOT REMOVE this inspection record fro a ob site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour (1
BUILDING Inspection Line: (503) 639 -4175 MST 600(4-A—' l - - 66 - 9
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received a � Date Requested ( ( AM PM BUP
Q
Location n 0 Suite MEC
Contact Person Ph ( f 9n ! q - 3376 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Tit Sheath/ 407
Int Sheath/Shear
Framing C=am a4'sG'E4c�i� 4y --2-25-,006
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 2 -/ /-B S Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD • 24 -Hour
BUILDING � Inspection Line: (503) 639 -4175 MST °� 00-3
INSPECTION DIVISION / Business Line: (503) 639 -4171
BUP
Received Date Re nested AM PM BUP
Location & gq ?-y Suite MEC
Contact Person Ph ( ) ,2 09 - 3370 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Sheath/'i )
Int Sheath/Shear ? I lv 4- /ha �,lJUGviv eS'S �/I e
Framing
Insulation
Drywall Nailing
Firewall
Sprinkler ) , t//,r �.1� Ci �L� Srv� S �' ./71 S .
Fire Alarm 41- ) 4/4i L ie 5,46 e/e, CA./41
Susp'd Ceiling
Roof
Other:
Final
PASS PAR FAI
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line ---
ADA _ / o _ _
Approach/Sidewalk Date s Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD • 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST Do q— 0 3/
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested l — / / AM PM BUP
Location g1rq Suite MEC
Contact Person . Ph ( ) �v —33 ?2 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
ost & Bea
Rough -In
Gas Line
Smoke Dampers
Final
0. PART FAIL
•
EL CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line — - -t.
ADA f�— S
Approach/Sidewalk Date �� Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD " 24 -Hour
BUILDING Inspection Line: (50 •-4175 MST ape 003/ 7
INSPECTION DIVISION Business Line: (503 .39-4171
BUP
Received Date Requested / – `– ., PM BUP
Location : 0 $ _ - Suite MEC
Contact Person A Ph ( ) 782) — /o?- 7 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footin•
..'rF1' Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / / ; S
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath /Shear
Framing USA Cos 1 0J"
Insulation S� -����5 /I -S V / - % K s
Drywall Nailing v,
Fire wall (2 1-A-&1&61. / 2– , " 6
Fire Sprinkler ' ` � 4
Fire Alarm
Susp' ell'
R f A
- Ot r: , i(�
Fin
/�. PART FALL
• ' BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: •p9
Final War � v s ' p ■ cr.i� 42n. 4...s,
PASS PART FAIL -
MECHANICAL '0 1 /4-�c Gt — rZ� ✓ /T =L, - - o - oI / v,vt Cr7
Post ugh Beam F ov I_ C i) VNr T 1 `"Go -// ° Rough -In
Gas Line Dampers / AZ) [ _fiyy) /'7-" Z = L�'Z t/&,
Final
PART FAIL S 7l eT G—i 4, /4-1-1/4-Y ��2e)�t roof.) L. �2G/��
ELECTRICAL 6" /A/ Fit/ ST /0/
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Fi) ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line - /
j
ADA i Approach/Sidewalk Date ` 2 Cl 0� Inspector . ■ — Ext
Other:
Final DO NOT REMOVE this Inspection re . d from the Job site.
PASS PART FAIL
CITY OF TIGARD ' 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST a06 y'e /y
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received /- 2 Date Requested � 7 AM PM BUP
p
Location (1 O 4 Suite MEC
Contact Person Ph ( ) 7 8 / 7 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footi
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post -& Beam � " Op (7 ,
Shear Anchors
Ext Sheath/Shear
(na /Shear
Framing Llpe
ming
Insulation r�
Drywall Nailing U' �`''� ���� /7-/A5
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
* PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date /Z — Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•
• �QLS
FROELICH
CONSULTING
ENGINEERS INC
MAIN OFFICE 0 CENTRAL OREGON 0
6969 SW Hampton Street 231 SW Scalehouse Loop, Suite 101
Tigard, Oregon 97223 Bend, Oregon 97702
503.624- 7005/503.624 -9770 FAX 541.383- 1828/541.383 -7696 FAX
MEMORANDUM
Date: 2 -28 -05
To: Steve Lucas
Company: Legend Homes
Job Name /Number: Sutton IIID (03 -T143) .
From: Todd Nagele
Comments:
This is in regards to the post at the exterior corner of the kitchen. The plan calls for a 6x6 post at
this location. However, the framing shown on the attached page is acceptable and the 6x6 is not
required.
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 9- 443 /c
INSPECTION DIVISION Business Line: (503) 639 -4171
Ar � BUP
Received 3 Date Requested 3/-v'--/ C15 ✓ AM PM BUP
Location ge)d L--€- d 5-e-1( Suite MEC
Contact Person TQ y Ph ( ) z0 l ' 33 7 a PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation S me . w2114$
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm R_ u - - - t( / !) N �-
Susp'd Ceiling f
Roof TD D M kw'( IA) I LS l A/ W7 /Lfdt! 073 CCottoolu,5
Other:
Final / /1/ M UvT / - & 13 ax ES)
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
'tLECTF#gtAL elk • - . it 511 [i
erviC
oU -
UG/Slab
Low Voltage k - E—
Fire Alarm
F j , 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
i17 PART FAIL,
— ❑ Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line rl
ADA /f �i2 7 Ext
Approach/Sidewalk Date li V v � Inspector �i`
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARC 4
BUILDING DIVISION PERMIT #:
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ni 13125
Phone: (503) 639 -4171 u k : F^ 12I16J2004
Inspection Requests (24 Hrs.): (503) 639 -4175 -� �
INSPECTION WORKSHEET FOR DATE: PAGE:
5/11/2005 TIME: 7:12AM 3
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 08084 SW LEISER LN LOT #: TYPE OF USE:
PROJECT NAME: LEISER PARK 002
DESCRIPTION: LEISER PARK
New SF.
OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080
CONTRACTOR: LEGEND HOMES CORP PHONE #: 620 -8080
Inspection Request Scheduled For: Date: 6/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 006614 -04 503 - 209.3370 N
Corrections /Comments /Instructions:
' 1-:(4 7 / 15
6 'ASS ❑ PARTIAL APPROVAL - - CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " v l Date: O Phone #: (503) 718 -